Edward O Coleman (NPI# 1730158965, PAC ID# 3173420494) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1730158965 |
| PAC ID by PECOS | 3173420494 |
| Professional Enrollment ID | I20031216000120 |
| Full Name | Edward O Coleman |
| Organization Legal Name | AFFINITY HEALTH GROUP, LLC |
| Address |
109 Regency Pl West Monroe LA 71291-4453 |
| Phone Number | 3188129997 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9335226547 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190245 | MONROE SURGICAL HOSPITAL |
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 109 Regency Pl, West Monroe, LA 71291-4453 | 3188129997 | AFFINITY HEALTH GROUP, LLC |
| Organization Legal Name | AFFINITY HEALTH GROUP, LLC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Turner | Nurse Practitioner | Affinity Health Group, LLC | 920 Oliver Rd, Monroe, LA 71201-5702 |
| Ashley Wiltcher | Nurse Practitioner | Affinity Health Group, LLC | 112 Saint John St, Monroe, LA 71201-7322 |
| Brian Lamb | Occupational Therapy | Affinity Health Group, LLC | 1325 Louisville Ave, Monroe, LA 71201-6021 |
| Sara Dean | Registered Dietitian Or Nutrition Professional | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Arthur E Liles | Urology | Affinity Health Group, LLC | 1 Bancroft Cir, Monroe, LA 71201-5101 |
| Nicole M Fuller | Nurse Practitioner | Affinity Health Group, LLC | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 |
| Ronald P Koepke | Cardiovascular Disease (cardiology) | Affinity Health Group, LLC | 109 Regency Pl, West Monroe, LA 71291-4453 |
| Cynthia A Brantly | Registered Dietitian Or Nutrition Professional | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Matilda E Stephens | Nurse Practitioner | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Sharlene Sullivan | Nurse Practitioner | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Street Address |
109 REGENCY PL |
| City | WEST MONROE |
| State | LA |
| Zip | 71291-4453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald P Koepke | Cardiovascular Disease (cardiology) | Affinity Health Group, LLC | 109 Regency Pl, West Monroe, LA 71291-4453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria T Durkee | Clinical Nurse Specialist | Physician Group of Louisiana Inc | 128 Ridgedale Dr, Suite 1, West Monroe, LA 71291-2017 |
| Kaleb K Deshotel | Chiropractic | 811 Cypress St, West Monroe, LA 71291-2923 | |
| Steven R Crider | Infectious Disease | 405 Stella St A, West Monroe, LA 71291-2968 | |
| Mark S Debord | Clinical Social Worker | 212 Cypress St, West Monroe, LA 71291-3120 | |
| Anna Reardon | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Shandra Winbush | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Justin M. Rawls | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Melanie Massey | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Anne Colvin | Occupational Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Lauren A Sledge | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Find all physicians in zip 71291 | |||
| City | WEST MONROE |
| Zip Code | 71291 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WEST MONROE + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.